CARDIAC CATH LAB OF TYLER LP


Address: 1769 Troup Hwy, Tyler, TX 75701
Phone: 9035354000

CARDIAC CATH LAB OF TYLER LP (NPI# 1497992846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497992846
Entity Type Organization
Organization Name CARDIAC CATH LAB OF TYLER LP
Other Organization Name TYLER CARDIAC & ENDOVASCULAR CENTER
Practice Address 1769 Troup Hwy
Tyler
TX 75701
Practice Telephone 9035354000
Practice Fax Number 9035354001
Mailing Telephone 9035354000
Mailing Fax Number 9035354001
Enumeration Date 2009-01-07
Last Update Date 2018-08-27
Authorized Official Name MR. JAMES F. SPELLMIRE (CFO)
Authorized Official Telephone 7138127586
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Tyler Cardiac & Endovascular Center Doing Business As Name - Organization

Office Location

Street Address 1769 TROUP HWY
City TYLER
State TX
Zip Code 75701

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1366680217 Trinity Clinic Clinic/Center 910 E Houston St, Ste 330, Tyler, TX 75702-8368 2009-01-30
1659516086 Trinity Clinic Clinic/Center 910 E Houston St, Ste 550, Tyler, TX 75702-8366 2008-12-15
1487807277 Trinity Clinic Clinic/Center 3131 Troup Hwy, Tyler, TX 75701-8350 2008-10-24

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Competitor

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City TYLER
Zip Code 75701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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